NEVVI Medicare utilization intelligence
or
+ Build a code basket
Market snapshot

43275 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

43275 — Removal of stent from pancreatic or bile duct using a flexible endoscope

Billing groups
150
Named-group FFS services
3,996
FFS of Medicare
49%
Services YoY
+3.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,908 services

3,996 observed fee-for-service (51%) · ~3,912 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 43275 (CY2024)
MO 541 CA 454 IL 316 MA 284 FL 252

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$5.5M
Named-group allowed amount
$1.3M
Named-group Medicare payments
$1.0M
Avg charge / svc
$1,387
Avg allowed / svc
$333
Avg payment / svc
$259
Average charge per group
$534 150 groups · avg submitted charge / service $9,024
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 43275 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 102 $107,418 $1,053 65.0% —
2 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 83 $85,407 $1,029 100.0% (202) 429-2401
3 MONTROSE MEMORIAL HOSPITAL, INC MONTROSE CO DIAGNOSTIC RADIOLOGY 140 78 $72,789 $933 38.2% (970) 252-2691
4 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 66 $54,120 $820 14.5% (530) 332-4470
5 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY VA PHYSICIAN ASSISTANT 354 63 $61,740 $980 26.1% (623) 832-4000
6 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 61 $96,315 $1,579 11.3% (314) 747-3000
7 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 59 $79,353 $1,345 13.0% (310) 423-3277
8 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 57 $58,425 $1,025 10.5% —
9 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 56 $95,949 $1,713 12.3% (415) 600-1020
10 CAROLINA DIGESTIVE HEALTH ASSOCIATES PA CHARLOTTE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 49 56 $78,960 $1,410 28.7% (704) 372-7974
11 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 54 $85,914 $1,591 21.6% —
12 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 51 $148,716 $2,916 27.0% —
13 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 49 $39,886 $814 19.4% —
14 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 48 $84,192 $1,754 16.9% (781) 983-9088
15 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 48 $60,638 $1,263 15.2% —
16 MERCY CLINIC GASTROENTEROLOGY LLC SAINT LOUIS MO GASTROENTEROLOGY 64 47 $51,982 $1,106 8.7% (314) 251-2880
17 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 46 $78,154 $1,699 18.3% (239) 343-9888
18 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 46 $119,081 $2,589 19.7% (843) 792-1414
19 BOCACARE INC BOCA RATON MA PHYSICIAN ASSISTANT 199 46 $70,422 $1,531 16.2% (561) 955-7100
20 ALBANY MEDICAL COLLEGE ALBANY MO PHYSICIAN ASSISTANT 1070 46 $54,096 $1,176 8.5% (518) 262-3277
21 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 45 $48,060 $1,068 42.9% (888) 484-3258
22 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 45 $77,731 $1,727 70.3% (319) 678-8201
23 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 45 $72,847 $1,619 19.3% (843) 777-2000
24 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 44 $101,772 $2,313 13.9% —
25 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 42 $40,572 $966 18.0% —
26 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 42 $47,118 $1,122 20.6% (303) 778-5797
27 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 40 $66,080 $1,652 28.0% (734) 763-5459
28 ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI PHYSICIAN ASSISTANT 604 38 $85,500 $2,250 76.0% (920) 496-4700
29 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 37 $79,735 $2,155 21.9% —
30 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 36 $50,170 $1,394 7.9% (858) 455-9100
31 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 36 $115,128 $3,198 7.9% (650) 723-4000
32 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 35 $43,750 $1,250 35.7% (856) 247-7260
33 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 34 $37,468 $1,102 13.6% (214) 599-8624
34 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 34 $36,348 $1,069 18.7% (253) 428-2200
35 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 33 $35,277 $1,069 100.0% (801) 261-8346
36 ERLANGER HEALTH CHATTANOOGA LA NURSE PRACTITIONER 487 33 $28,215 $855 27.5% —
37 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 32 $39,488 $1,234 44.4% (501) 686-8000
38 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 32 $30,816 $963 20.5% (502) 629-2398
39 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 32 $36,416 $1,138 13.3% —
40 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 32 $25,159 $786 16.4% (910) 296-0941
41 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 31 $27,428 $885 67.4% (913) 588-1227
42 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 31 $39,861 $1,286 19.1% (410) 502-4340
43 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO PHYSICIAN ASSISTANT 251 31 $37,952 $1,224 5.7% (417) 875-3000
44 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 31 $51,429 $1,659 6.8% (925) 296-9720
45 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 30 $22,620 $754 12.0% (713) 242-2222
46 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 29 $54,009 $1,862 18.5% (800) 603-0558
47 OSF MULTI-SPECIALTY GROUP PEORIA MO NURSE PRACTITIONER 2091 29 $61,480 $2,120 5.4% (309) 683-5050
48 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 28 $46,690 $1,667 6.2% (916) 681-8852
49 MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC YOUNGSTOWN OH NURSE PRACTITIONER 476 28 $17,668 $631 14.8% (330) 480-3655
50 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 28 $31,780 $1,135 11.1% (407) 200-2700
51 KOOTENAI HEALTH INC COEUR D ALENE ID PHYSICIAN ASSISTANT 383 27 $22,059 $817 100.0% —
52 BRONSON METHODIST HOSPITAL KALAMAZOO MI PHYSICIAN ASSISTANT 728 27 $21,654 $802 18.9% —
53 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY MO NURSE PRACTITIONER 1815 26 $23,200 $892 4.8% (913) 588-1227
54 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 26 $38,532 $1,482 8.2% (847) 459-1160
55 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 26 $20,072 $772 11.2% (864) 255-1901
56 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 25 $20,918 $837 17.5% (248) 898-5058
57 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 25 $38,000 $1,520 9.9% (904) 398-7205
58 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 25 $26,663 $1,067 12.1% —
59 NORTH SHORE-LIJ MEDICAL PC MANHASSET PA PHYSICIAN ASSISTANT 6294 25 $53,875 $2,155 12.1% —
60 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 25 $28,300 $1,132 13.7% —
61 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NY NURSE PRACTITIONER 1878 24 $28,770 $1,199 14.2% (732) 362-3663
62 POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC POPLAR BLUFF MO NURSE PRACTITIONER 43 24 $24,912 $1,038 4.4% (573) 712-2546
63 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IN NURSE PRACTITIONER 3380 24 $25,104 $1,046 22.9% —
64 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 24 $30,240 $1,260 16.8% (313) 916-2600
65 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 22 $37,422 $1,701 4.8% (714) 456-7002
66 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 22 $27,346 $1,243 14.1% (502) 937-2209
67 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 22 $16,610 $755 30.6% (501) 562-4838
68 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 21 $21,854 $1,041 11.5% (206) 223-6600
69 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 21 $27,972 $1,332 10.1% —
70 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 21 $20,286 $966 9.0% (803) 749-5101
71 MIDWEST GASTROINTESTINAL ASSOCIATES PC OMAHA NE GASTROENTEROLOGY 53 21 $39,921 $1,901 31.8% —
72 VALLEY VIEW HOSPITAL ASSOCIATION GLENWOOD SPGS PA PHYSICIAN ASSISTANT 206 21 $20,979 $999 10.1% (970) 384-7290
73 DIGESTIVE ASSOCIATES LLP N LAS VEGAS NV GASTROENTEROLOGY 17 20 $21,500 $1,075 46.5% (702) 633-0207
74 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 20 $20,040 $1,002 8.3% (434) 924-5959
75 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO MO NURSE PRACTITIONER 4339 20 $46,260 $2,313 3.7% —
76 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 20 $37,860 $1,893 7.0% (508) 334-1000
77 MVHS INC UTICA NY NURSE PRACTITIONER 322 20 $13,980 $699 11.8% (315) 625-6000
78 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 19 $24,757 $1,303 50.0% (701) 234-2000
79 CHS PHYSICIAN PARTNERS PC ROSLYN IA PHYSICIAN ASSISTANT 734 19 $17,045 $897 29.7% —
80 ZUHDI TRANSPLANT PHYSICIANS OKLAHOMA CITY OK NURSE PRACTITIONER 51 19 $15,602 $821 25.0% (405) 947-5557
81 MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC PADUCAH KY NURSE PRACTITIONER 142 19 $11,989 $631 12.2% —
82 BERKSHIRE FACULTY SERVICES INC PITTSFIELD MA PHYSICIAN ASSISTANT 276 18 $22,266 $1,237 6.3% (413) 447-2695
83 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 18 $162,429 $9,024 25.0% (501) 202-2093
84 SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUE CO PHYSICIAN ASSISTANT 328 18 $15,210 $845 8.8% (505) 727-7090
85 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 18 $20,952 $1,164 8.7% (484) 526-2400
86 CHESAPEAKE DIGESTIVE ASSOCIATES, PC ANNAPOLIS MD GASTROENTEROLOGY 37 18 $30,402 $1,689 11.1% 4102244887421
87 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 18 $17,712 $984 7.2% (806) 358-0200
88 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 18 $20,823 $1,157 4.0% (949) 791-3370
89 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 18 $18,270 $1,015 9.5% —
90 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 18 $19,231 $1,068 9.9% —
91 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 17 $14,926 $878 8.3% —
92 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 17 $39,100 $2,300 100.0% (203) 688-4242
93 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 17 $42,067 $2,475 6.7% (904) 953-2000
94 AJAY BAKHSHI,MD LLC BETHESDA MD GASTROENTEROLOGY 4 17 $15,606 $918 10.5% (301) 530-5142
95 ATLANTIC DIGESTIVE SPECIALISTS PLLC SOMERSWORTH NH GASTROENTEROLOGY 18 17 $21,114 $1,242 100.0% (603) 692-2228
96 SANFORD MEDICAL CENTER SIOUX FALLS SD NURSE PRACTITIONER 831 16 $27,040 $1,690 50.0% (605) 332-2883
97 EPHRAIM MCDOWELL HEALTH RESOURCE INC DANVILLE KY NURSE PRACTITIONER 157 16 $9,968 $623 10.3% (859) 236-2222
98 PUBLIC HOSPITAL DIST NO 1 SKAGIT MOUNT VERNON WA PHYSICIAN ASSISTANT 314 16 $12,688 $793 8.8% (360) 428-2500
99 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY SD PHYSICIAN ASSISTANT 559 16 $18,480 $1,155 50.0% (605) 755-7200
100 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN TN GASTROENTEROLOGY 154 16 $31,312 $1,957 51.6% (901) 755-9110

Showing the top 100 of 150 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →